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[Anal extrusion: a complication of ventriculo-peritoneal shunt for hydrocephalus (author's transl)]
Anales Espanoles De Pediatria
|November 1, 1975
Abstract:
The authors report a case of rectal perforation eight months after the placement of a ventriculo-peritoneal shunt. There was no peritonitis, but an "E. coli" meningitis was found. The patient died two hours after surgical removal of the shunt. At autopsy, a perforation by the tip of the catheter was found in the anterior face of the rectosigmoid.
Insights
A rare complication of ventriculo-peritoneal shunts is rectal perforation, identified eight months post-implantation. This case highlights a fatal outcome due to E. coli meningitis following shunt removal.
Area of Science:
- Neurosurgery
- Gastroenterology
- Infectious Disease
Background:
- Ventriculo-peritoneal shunts are commonly used to treat hydrocephalus.
- Complications, though rare, can occur and require prompt recognition.
Observation:
- A patient developed rectal perforation eight months after ventriculo-peritoneal shunt placement.
- The perforation was caused by the shunt catheter tip in the rectosigmoid.
Findings:
- The patient presented with "E. coli" meningitis, despite the absence of peritonitis.
- Surgical removal of the shunt was followed by death within two hours.
Implications:
- This case underscores the potential for delayed and unusual complications from ventriculo-peritoneal shunts.
- It highlights the importance of considering shunt malfunction in patients with neurological symptoms and gastrointestinal issues.
- Early diagnosis and management are critical for improving patient outcomes in such rare scenarios.